Individual
SHIRA YVETTE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1507 HARDY ST, SUITE 104, HATTIESBURG, MS 39401-4978
(601) 336-6847
(601) 510-9403
Mailing address
1507 HARDY ST, SUITE 104, HATTIESBURG, MS 39401-4978
(601) 336-6847
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1542
MS
Other
Enumeration date
02/16/2011
Last updated
10/18/2012
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